Individual
DANIELLE LACIE QUAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
105 E HIGHLAND AVE, NEWPORT, DE 19804-2708
(302) 992-5535
Mailing address
400 FOULK RD APT 1B2, WILMINGTON, DE 19803-3839
(410) 830-0012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
O1-0012136
DE
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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